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眼球穿通伤致眼内玻璃异物有过不少报道,但前房存留6×5×1cm的玻璃异物一再漏诊、误诊长达5年,实属罕见。现报告如下: 王××,男,21岁,住院号880532,5年前右眼曾因注射用水瓶爆炸外伤,伤口愈合后右眼尚能视物,但经常红、痛、视力逐渐下降。在其它医院多次诊为“虹膜睫状体炎”,治疗无效。入院检查:右眼视力指数/20cm;左眼0.8。右眼混合性充血(+),角膜缘内2mm4～9点方位有粘连性弧形白斑。裂隙灯下检见,前房上方可见一凹面向外约5×4mm大小、弧度与角膜白斑一致的玻璃片。虹膜色淡、萎缩,瞳孔闭
Eye penetrating injury caused by intraocular foreign body glass has been a lot of reports, but the anterior chamber retention of 6 × 5 × 1cm repeated missed glass foreign body, misdiagnosed up to 5 years, it is rare. The report is as follows: Wang × ×, male, 21 years old, hospital number 880532, 5 years ago, the right eye was injured due to water bottle explosion injury, the wound can still be seen after the right eye, but often red, pain, visual acuity decreased. Multiple clinics in other hospitals as “iridocyclitis”, the treatment is invalid. Admission examination: Right eye acuity index / 20cm; left eye 0.8. Mixed right eye congestion (+), 2mm4 ~ 9 o’clock within the corneal edge of the adhesive arc white spot. Slit lamp under the seizure, seen above the anterior chamber can be seen a concave outward size of about 5 × 4mm, radian and corneal leukoplavate consistent glass. Iris pale, atrophy, pupil closed